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Permit (16)
CITY OF TIGARD MASTER PERMIT ' ' ' COMMUNITY DEVELOPMENT Permit#: MST2019-00045 T I(;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/15/2019 Parcel: 1S135AA03800 Jurisdiction: Tigard Site address: 8921 SW ELENA LN Subdivision: OAK STREET CONDOMINIUMS Lot: Project: Oak Street Condominiums, Lot 15 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 561 sf Basement: 296 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 540 sf Garage: 275 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 1397 sf Value: $179,264.95 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add]500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing. Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1397 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11807 NE 99TH ST STE 1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 2 1-Hour Fire Proofing 3 2-Hour Fire Rated Assemblies PHONE: 360-258-7900 PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $22,778.14 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR -001-0090. Y• may obtain a •py of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /r�/i� �, •� • � LOLL ���Zf/l�*� Permittee Signature: 5r.r /�// h 7,/,', / Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �jf This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application ResidentialRE(',F1VFD FOR OFFICE USE ONLY Cityof Tigard �'ccpp 7 Received 514 a 131SW Hall Blvd.,Tigard,OR 97g24i� 2019 Date/B :..I ry ,,,,, ,,,,..�I3 4k � -��"/_L '' Phone: 503.718.2439 Fax: 503.598.1960 Plan rtgm. Date/I3 : /e ' .,`" `" Date Ready/By: ,J p J ru: H See Page 2 for I 1 O A k U Inspection Line: 503.639.4175 ` Lt, 1 i C x,41 17 Notified/Method:! (0 /( �� Supplemental Information Internet: www.tigard-or.gov BUILDING DIVISION �� s ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the c - work indicated on this application. f (!f : f o 3. Tit O .F< 4; Valuation: $ ® 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms:2 0 Accessory building ®Multi-family 0 Master builder 0 Other: Number of bathrooms ' Total number of floors:3 ( (j 7 L Job site address:8921 SW Elena Lane New dwelling area: 1397 square feet ,5 eD City/State/ZiP:Tigard, OR 97223 04 (C s f-- Garage/carport area: 2755 square feet 5(„,( Suite/bldg./apt.no.: Project name:X•ausbotefte Condominiums Covered porch area: square feet#7,1L Cross street/directions to job site: Deck area: _)7 square feet Other structure area: square feet > E :Ott Subdivision: Lot no.:15 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the D ® y° o '_ work indicated on this application. NSFR attached Valuation: $ Existing building area: square feet New building area: square feet f . y is t !;. Number of stories: � �� ,�. ° ., _ �... � .. �r Name:Lennar NW Inc. Type of construction: Address:11807 NE 99th St. #1170, Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:( 360)258-7900 Fax:( ) New: Business name: Lennar NW Inc. Structural plan review fee(or deposit): Contact name: Juls Call FLS plan review fee(if applicable): Address: 11807 NE 99th St.#1170 Total fees due upon application: City/State/ZIP:Vancouver, WA 98682 Amount received: Phone:(360)258-7906 Fax::( ) E-mail juls.call@lennar.com n 'II Yo ,' `. ;n . ' .. Commercial and residential prescriptive installation of t ' .,, ' i; 1T , , _ roof-top mounted Photo Voltaic Solar Panel System. Business name:Lennar NW Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:SAME AS ABOVE Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 tY and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB tic.:195307 Total fee due upon application: $201.60 )...,) Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date: 1/28/19 *Fee methodology set by Tri-County Building Industry Print name:Juts CallService Board I:\Building\Permits\BUP-RESPemutApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One— and Two—Family Dwelling FOR OFFICE USE ONLY Received 11111 City of Tigard Permit No.: Date IS 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:>s Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical TRGAkL Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 121 ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 121 ❑ ❑ 3 Verification of approved plat/lot. © ❑ ❑ 4 Fire district approval required. Name of district: . 121 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity _ El El 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 121 ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- © ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state [r 0 ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if [2 ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ® ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 121 ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 121 ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. © ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or El ❑ ❑ architect licensed in Ore:on and shall be shown to be a.•livable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16,19,20 and 22 above. ❑ ❑ 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9,1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicat ECEIVED FOR OFFI( I: 1 SI. ()yl.v City of Tigard Received Permit No. A P R 1 5 2019 Date/By: >i�JCAC` \jV— w 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review :IN . Phone: 503.718.2439 Fax: 503.598.19 Other Permit: Inspection Line: 503.639.4175 ulTY OF TIGARD DateBy: l I G A R I) Date Ready/By: loris: Vi See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORKL --"UgiC — CO �CIe��FE1�*. a Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 8921 SW Elena Lane Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision:Cornerstone Condominiums Lot no.:15 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION Or WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas NSFR attached fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 .x 4�-.rM,' a a � x ���'�NN ...,.4 .4�.F,. . , Other: 23.32 Environmental exhaust and ventilation: Name:Lennar NW Inc. Range hood/other kitchen equipment 33.39 Address:11807 NE 99th St. #1170 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver, WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 3 23.32 Phone:(360 )258-7900 Fax:( ) Attic/crawlspace fans 23.32 r_ Other: 23.32 Fuel piping: Business name:Same as above $14.15 for first four;$4.03 for each additional Contact name:Juls Call Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(360)258-7906 I Fax: :( ) Fireplace Range E-mail: juls.call lennar.com Barbecue "CO TRACT '- Clothes dryer(gas) Other: Business name:HeatGuy, LIC. MECHANICAL PERMIT FEES* Address:5215 NE 282nd Ave Subtotal City/State/ZIP:Camas, WA 98607 Minimum permit fee($90.00) Phone:(360 253 4822 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:187461 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 __ days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board IPrint name:Corinna Fri Date:04/15/2019 1:\Building\Permits\MEC_PemutApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PennitApp_040113.doc 2 Electrical Permit Application RECEIVED ►.o►z 0Ffl( I' I SL ONEN City of Tigard Received ESICEEMZEM III + 13125 SW Hall Blvd.,Tigard,OR 97223 APR 1 5 2019 DateBPlan Review I: Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Juris: ® See Page 2 for T I G A R D Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information .,, ,..TYPE OF WOW( : PLAN RE W. , ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 12 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 8921 SW Elena Lane 0 Addition of new motor load of system. l00HP or more. ❑"A","E","1-2","1-3", City/State/ZIP: 0 Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: ['Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision:Cornerstone Condominiums Lot#:15 Includes attached garage. 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 1 33.92 1 DESCRIPTION OF WORK Limited energy,residential NSFR (with above sq.ft.) 1 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ® PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name:Lennar NW Inc. 200 amps or less 100.70 2 Address:11807 NE 99th St. #1170 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver, WA 98682 601 amps to 1,000 amps 301.04 2 Phone:(360)258-7900 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 _ 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 0 APPLICANT I Q CONTACT PERSON Branch circuits-c new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Same as above above service or feeder fee, 7.42 2 each branch circuit Contact name:Juls Call B.Fee for branch circuits without service or feeder fee,first Address:Same as above branch circuit 56.18 2 City/State/ZIP: Each add'!branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )258-7906 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:juls.call@lennar.com Reconnect only 67.84 2 •`�. �. �•. - . .w .- '* :� -. .= -r Pump or irrigation circle 67.84 2 Business name: Three Phase Electric Sign or outline lighting 67.84 2 Address: 11490 SE Jennifer St Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP: Clackamas, OR 97015 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503 ) 908-8058 Fax:(503 ) 762-1823 Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: permits@ThreePhaseElectric.com Inspections for which no fee is s ecificall listed '/2 hr min) 90.00/hr CCB Lic.: 162368 Electrical Lic.: 3-332C Suprv.Lic.: 6379S P �' � Suprv.Electrician signature,required: G __y_ Subtotal: Print name: Robert Lane Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitAppELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: _.t... '... .r.. Qty. I Each I Total Fee for all residential systems combined: $75.00 Description 3' Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 El Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr mm) Inspections for which no fee is 90.00/hr specifically listed(V2 hr min) COMMERCIAL WORK ONLY: 'ELECTRICAL PERMIT Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 y ' Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015 1 Plumbing Permit ApplicaficR r . 7: V"-rt I Building Fixtures FOR OFFICE (SF ()NIA ;� 1 ,I B Received i City of Tigard Q DatdBy Permit No.:MSF 2e/9-000 r/S I liv at 13125 SW Hall Blvd.,Tigard,OR 97423t 8 ' Phone: 503.718,2439 Fax: 503.5g:1960 $�l('r Fs r) D/By:ow Other Pcmit No.: Inspection Line: 503.639.4175 , TIGARD 1�1"�9,2 t�j DateReadylity: lura &1See Page 2for Internet www.tigard-or.gov Notified/Method: Supplemental Inform alien .TYPE OF WORK •. :FEE":SCHEDULE" ®New construction 0 Demolition For special laforimillon use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: 1 New 1-2-family dwellings(includes 100 ft.for each utility connection) ... CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 1 50032 0 Master builder Each additional bath/kitchen 25.02 ❑Other. Fire sprinkler( sq.ft.) Page 2 .,. =JOB SITE:INFORMATION AND LOCATION ` Site utilities: Job site address: 8921 SW Elena Lane Catch basin or area drain 18.76 Drywell,leach tine,or trench drain 18.76 City/State/ZlP:Tigard,OR 97223 Footing drain(no.linear ft.: ___) Page 2 • Suite/bldg./apt. no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear It.:_) Page 2 Water service(no.linear It.: ) Page 2 Subdivision; Lot no.: 15 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 `DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 __- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 :`® PROPERTY OWNER I CI TENANT Expansion tank 12.51 Name:Lennar NW Inc. Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11807 NE 99th St.#1170 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 25.02 Phone:(360)258-7906 Fax:( ) Ice maker 12.51 0 APPLICANT '"0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Lennar NW Inc. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:J u is Call Roof drain(commercial) 12.51 Address:SAME AS ABOVE Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail:juis.caligennar.cam Urinal 25.02 .. . CONTRACTOR Water closet 25.02 1 • Water heater 37.52 Business name: Li O 1 c.o 5 Je- rte`jC- ! Water piping/DWV 56.29 Address: 1 ©-7S Wt-5j7- fi7'Sjbrtc Catt.rp17�q f i utc 40/ Other: 25.02 City/State/ZIP: Tax, -c� Gt to ()JZ.. ci 70 6 D Subtotal Phone:(SOS) C i1'7 ---1 i g ` Fax:(500 GG /( (y i Minimum permit fee: $72.50 L Plan review(25%of permit fee) 1 CCB Lic.: I! 2.2-2..0 Plumbing Lic.no.:2,6-q.Z II13 State surcharge(12%of permit fee) Authorized signature: V I /) �/` , / TOTAL PERMIT FEE Print name: Lt.r'1 W E, 1?,ef Date: I Z C1 I ct This permit applicatien expires if a permit is not obtained within 180 days ]!l after it bas been accepted its complete, *Fee methodology set by Tri-County Building industry Service Board. hlaaildta PermitPLMU-PermitApp.dec 10101/09 40-4616r(ie102/COu/wen) < 1 j I 1 Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty, Fee(ea) Total Square Footage: Permit Fee: Footing drain-1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 Sewer-1st 100' 62.54 3,601 to 7,200 $233.20 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Stann&Rain Drain-1 1st 100' 62.54 Valuation: Per mit Fee: $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 55,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other:Inspections or Fees Qty, Fee(ea) T°tat. each additional g$10'0�00rfractionthercot to Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge 1/2 tour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1,20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantit,y by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Plan review is required for of the following. Performed: Capped Added Relocateany Baptistry/Font Please check all that apply. Bath -Tub/Shower ❑ Any new commercial building with water service 2"and Jacrrai/Whirlpool greater,except systems designed and stamped by licensed engineer. Car Wash -Each Stall eu g -Drive Thru • 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR9 18-7 80-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR9 18-7 80-0040. • Eye Wash _ Floor Drain/sink -2" Submit a sets of plans with any of the above. -3" -4" Isometric or Riser Diagram Car Wash Drain 0 Isometric diagramisrequired for new buildings Garbage -Domestic-non-food • or riser g Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer CDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:(Users\JuCatlDownloads\PLMF_PernutApp.doc 2 :1COMCity of Tigard g x MUNITY DEVELOPMENT DEPARTMENT 14 - ,� ; Building Permit Review — Residential 5•=, -71' g.. -F- x,. .«wJ..-.._...s ....._,_1__A:y.u,t_ 3' . .. -....`.- —,---7k..: ....... ._':3.`b'".',.- -,___ ,c1...::..::s._ r 3..-:£,l', --, - Building Permit #: /27-01-01 is OC y Site Address: g99J s9A 7 -ZeL m,C Project Name: .(ioi 27i: (0-r, oK pia Lot #: l (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Gi>4Zit) 3 i 0,1 15 Verify site address/suite#exists and activ ' permit system. ►1!°River Terrace Neighborhood: No 0 Yes,See River Terrace Review Addendum Attached Sit lan Elements: ee(3)copies of site plan Existing structures on site 1:2Site plan must lZe on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(mcluding decks)with finished rr2kawn to scale(standard architect or engineer scale) floor elevations arrow „,,\.4i?( Utility locations&easements(required for new and additions) 1Si address,project or subdivision name and lot number Sidewalk/driveway approach 'VXplicant information(name and phone number) Location of wells/septic systems 2Lot dimensions and building setback dimensions Existing trees to be retained with drip line,and tree 0 Square footage of buildings to be demolished protection measures \i, ('D Lot area,building coverage area,percentage of coverage and eet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street names ❑Property comer elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Yes❑ 4 foot differential) If yes,is a storm water duality facility shown?k3\Yes L41No /Clean Water S(rvices—Service Provider Lettof platted prior to 9/10/1995): f quired: Yes,applicant was notified No Received: Yes 0 No \ ublic Facilities Improvement(PFI)Permit Required: 0 Yes,applicant was notified IV No Applied For: 0 Yes 0 No,stop intake 14 d Use Case#: ®10 2.0, —666.P) ' oning: M GUP— 14ciuired Setbacks: Front 10 ''Rear 6 Side ( 3) Street Side K4....--Garage � Pr ldscape Requirement 2O % !.tt Coverage Maximum: V Building Height Maximum Height ---9"<— Actual Height \ Visual Clearance ` \ Sensitive Lands: 0 Yes 0 No Type ❑ j�rban Forestry Plan /Conditions` , et" .rior . issi ce of buil . p 9 Notes: Le L .t L s L C r .""gip, 4 € S ABP: ��" ! �/ r 1 / / Approved By P !, _ �% Dater lif Revisions (after Bu' ing Submittal only) Revi �;� Revision 1: Approved 0 Not Approved -4ri -' Aazteh q3' Revision 2: 0 Approved 0 Not Approved / Revision 3: 0 Approved 0 Not Approved I:\BuildingTonns\BldgPermitRvw RES 061417.docx Building Permit Submittal 711Original Submittal Date: l7 Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning [Engineering [ Permit Coordinator Building Workflow Sign-off: C�Sign-off for Planning(include notes from planning review) Route Application Documents: CrEngineering: (1) copy of permit application, (1) site plan,(1)building plan and original plan review routing form. qff Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: SIM/WO 4 iV%/P; d Date: _ Air Engineering Review 7 ifr-Slope at building pad: ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ,.Z1 No Assess Water Quantity Fee in-lieu: 0 Yes gi No LIDA Facility on lot 0 Yes No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: O'Approved by Engineering: Date: 2_//9' !7 __ .. i'"----- Revisions(after Building Submittal only) �!1�1 2i Reviewer Dat . 'A roved 0 Not Approved _ Revision 1: ppP Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant Revision Notice 3: Date Sent to Applicant: 2DC Fees Entered: Wash Co Trans Dev Tax: OYes 0 N/A Tigard Trans SDC: es 0 N/A Parks SDC: Yes ❑ N LIDA 0 Yes ���iv/A 7:2 "3! "t I f 14B to Issue Permit 1 it Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES 010118.docx 71 ® City of Tigard I COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building lding Permit Review — Commercial - With Land Use Building Permit #: /77.;%"-lq-•ei)et5 Site Address: / S ' F /7.9 2c-Q& Suite/Bldg#: /S---- Project cProject Name: 0 -,(27"-tv (Name of commercial business occupying the space. If vacant,enter Spec ac .) Planning Review SAP /4 .' S,5c plc rev,S�can/S, Proposal: ./v. : V V- 'fy site address/suite#exists and active in permit syste . 41 ' ver Terrace Neighborhood: 0 Yes No 1 nd Use Case#: lnl AO(/ —600,2-e) Plans '• atch Approved Land Use: N Si Planfr nndscape Plan I>`JJ they: 4i_13 Forestry Plan lid Elevation Plan ►G uilding Height: Ma m �1 Actual Height uHeight ht 1 i/ Pig OKConditions Met: WPrior to Submittal 0 Prior to Permit Issuance usiness License: Exists: 0 Yes 0 No,applicant notified to obtain business license 11 ublic Facilities Improvement(PFI) Permit: Required: 0 Yes,applicant was notified No Applied For: 0 Yes 0 No,stop intake Notes: Approved by Planning: Date: Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved 0 Not Approved Date Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Building Permit Submittal Original Submittal Date: /°f / Site Plans: # �� L i��l[�� j/a/71�� � � � Building Plans: # < ` '""-'J Building Permit#: Intri.lsx, g permit#above. Workflow Routing: anion ,,������ g L9'Vngineering ermit Coordinator [iding Workflow Sign-off: [ Sign-off for Planning(include notes from planning review) Route Application Documents: ding. original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: C- "7" - ,/ - 'ref oil/ ‘.S�l//.. By Permit Technician: ,..,,,,— _ Date: ,S—AiA.ie" I:\Building\FormskBldgpennitRvw COM_WithlandUse_060116.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: to Revisions (after Building Submittal only) Reviewer13D of Revision 1: Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: 0 Yes 0 N/A Parks SDC: 0 Yes 0 N/A OK to Issue Permit �� � � 5 (� � Approved by Permit Coordinator: Date: \ al✓" IABuildingTorms\BldgPermitRvw_COM withlandUse_070915.docx City of Tigard Tel: 503.718.2439 Location: Inspection Date: 8921 SW ELENA LN, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2019-00045 Inspection Type: Inspector: 240 Exterior shearwall David Young Result: CNCL Comments: Inspection Cancelled by contractor, not ready at this time. Violation Summary: Inspector Contractor